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Open Access Article

International Journal of Clinical Research. 2026; 10: (9) ; 13-19 ; DOI: 10.12208/j.ijcr.20260428.

Mechanisms underlying abnormal circadian rhythm of blood pressure and analysis of its influencing factors
异常血压昼夜节律的发生机制及影响因素分析

作者: 葛玲1, 赵洲1, 杨红玲2 *

1大理大学临床医学院 云南大理

2云南省第三人民医院心血管内科 云南昆明

*通讯作者: 杨红玲,单位:云南省第三人民医院心血管内科 云南昆明 ;

发布时间: 2026-09-09 总浏览量: 8 下载量: 加载中...

摘要

异常的血压节律是发生心血管事件的独立危险因素,会增加靶器官损害及心脑血管死亡风险。既往的研究表明,正常的血压昼夜节律是多种因素共同作用的结果,在单一因素或多种因素共同作用下,血压的昼夜节律会发生改变。本文综述了生物钟系统、衰老及其他因素(如自主神经系统、睡眠-觉醒周期)对血压昼夜节律的影响,重点阐述了生物钟系统和增龄带来的衰老影响血压昼夜节律的影响机制,旨在深入理解这些影响因素及其相互作用,为高血压患者制定个体化的治疗方案,恢复正常的血压昼夜节律,降低心血管疾病风险。

关键词: 高血压;血压昼夜节律;生物钟;年龄

Abstract

Abnormal blood pressure rhythm is an independent risk factor for cardiovascular events and increases the risk of target organ damage and cardiovascular mortality. Previous studies have shown that a normal circadian rhythm of blood pressure results from the interplay of multiple factors, and changes in blood pressure circadian rhythm can occur under the influence of a single factor or a combination of factors. This review summarizes the effects of the circadian clock system, aging, and other factors (such as the autonomic nervous system and the sleep-wake cycle) on the circadian rhythm of blood pressure, with a focus on the mechanisms by which the circadian clock system and aging-related changes influence blood pressure circadian rhythm. The aim is to gain an in-depth understanding of these influencing factors and their interactions, so as to develop personalized treatment strategies for patients with hypertension, restore normal blood pressure circadian rhythm, and reduce the risk of cardiovascular disease.

Key words: Hypertension; Circadian rhythm of blood pressure; Circadian clock; Aging

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引用本文

葛玲, 赵洲, 杨红玲, 异常血压昼夜节律的发生机制及影响因素分析[J]. 国际临床研究杂志, 2026; 10: (9) : 13-19.